You and Your Computer Can Fight Your Fears Together

July 10, 2000 -- Are you unrealistically frightened of dogs? Or the dark ... or crowds? Have no fear: new research from Britain seems to point the way toward help ... and it's pointing -- and clicking -- right at your computer screen.

Isaac M. Marks, MRCPsych, a British psychiatrist renowned for his work with fears and phobias, says a computer-based program can help people with these problems. In fact, he says computer programs can help people overcome a variety of problems, from obsessive-compulsive behavior to anxiety disorders.

Marks, a professor of psychiatry at Bethlehem-Maudsley Hospital and the Institute of Psychiatry in London, presented in late June the results of his studies using a computer program named "Fearfighter" at the Federation of European Neuroscience Societies (FENS 2000) meeting in Brighton, England.

The American Psychiatric Association defines a phobia as an intense, unrealistic fear of an object, an event, or a feeling. Phobias can be a fear of nearly anything -- animals, driving, elevators, closed spaces, or even open spaces. Often, there is no explanation for the fear. Sometimes the person can readily identify a frightening event that triggered the phobia. However, experts don't know why some people who experience such an event develop a phobia and others do not. Many psychologists believe the cause lies in a combination of genetic predisposition mixed with environmental and social causes.

The National Mental Health Association estimates that phobias afflict at least 12% of all Americans. They are the most common psychiatric illness in women and the second most common in men over age 25.

When people with phobias are confronted by the thing they fear, they will often begin to breathe rapidly and experience a pounding heartbeat and sweaty palms. Phobic disorders are classified as part of the group of anxiety disorders, which includes panic disorder, post-traumatic stress disorder, and obsessive-compulsive disorder. Several drugs regulated by the FDA are now being used to treat phobias and other anxiety disorders.

Marx tells WebMD the personal computer-based Fearfighter system takes the user through the stages necessary to treat their phobia using behavioral principles, which teach sufferers slowly over time that there is no real danger from the thing that they fear.